OrganizationActive
San Jose Community Clinic
NPI 1285751024 · Clinic/Center · Hawthorne, CA
Provider details
- NPI number
- 1285751024
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Reza Danesh, Ceo(310) 349-8338
- License
- A055334 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
11950 Inglewood Ave
Hawthorne, CA 90250
Phone: (310) 349-8338
Fax: (310) 349-8340
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 903
Palos Verdes Estates, CA 90274-0903
Registry dates
- Enumerated
- 2007-03-25
- Last updated
- 2018-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.